Assessment of nutritional status may include a. Observation of ...

[jasdeep_brar]

Assessment of nutritional status may include
 
  a. Observation of the older adult while eating
  b. Keeping a food journal of what and how much is eaten
  c. Questions about the older adult's food shopping and cooking practices
  d. All of the above

Question 2

Mr. Leopold is an 82-year-old man in your care. He has been diagnosed with liver cancer and has long-standing cardiovascular problems. He begins to scream at you and pushes his meal tray away. What would be an appropriate response?
 
  a. Take the meal tray and leave the room without saying anything
  b. Tell him to stop screaming in a loud voice
  c. Calmly ask him what he is upset about and listen carefully to him
  d. Call your supervisor

[Viet Thy]

Answer to Question 1

D
An older adult's food intake and nutritional status should be assessed in several ways. First, if the older adult is living at home, is he or she able to shop for food and cook it? Directly observing while the person is eating or recording what was eaten by observing a food tray and keeping a food journal or both are important in determining nutritional status and identifying any possible causes for losing weight or having nutritional deficiencies.

Answer to Question 2

C
You should try to find out what is bothering him and ask specific questionsfor example, is it the food? You should remember that he has been given a very serious and probably terminal diagnosis, and anger is understandable. There is a reason for every behavior, and you have the responsibility to learn the reason before reacting. Response A is uncaring and insulting to the patient. Response B is responding with anger and does not allow you to determine the cause of the outburst. If the patient becomes unruly, you should ask for assistance, but you should first try to determine the reason for the outburst and provide comfort if you can.